問題一覧
1
Nurse Libra has just passed the Nurses' Licensure Examination (NLE). She directly needs to refresh herself regarding the law that governs the practice of nursing the Philippines
By virtue of Section 16 of the Philippine Nursing Law, the first step Nurse Libra needs to do after passing the NLE is to:
Take oath of profession before the Philippine Regulatory Board
2
Which government body has the power to revoke or suspend Nurse Libra's certificate of registration/professional license,
should she commit unprofessional and unethical conduct in the future?
Professional Regulatory Board of Nursing
3
Nurse Libra just received her brand-new professional
ID card. In the new format of the Professional Regulation
Commission (PRC) ID, which of the following information are still present?
I. Professional license number
II. Date of birth of licensed professional
III. Last date of validity of ID card
IV. Official seal of the commission
V. Recent grayscale photograph of the licensed professional
I, III
4
What is the primary goal for establishing licensure of nurses?
Set a minimum level of competency to protect the public.
5
Leo, Nurse Libra's boyfriend, is a BSN graduate but did not take the NLE. He is in desperate need of money so he applied and was accepted in a health facility. As a nurse, Leo submitted a fake PRC license in order to be given the job. Leo is liable to be charged of
misrepresentation
6
The Code of Ethics of Registered Nurses in the Philippines was promulgated by the Professional Regulatory Board of Nursing (PRBON) in consultation with national nursing organizations.
Article II of the Code outlines ethical principles governing the Registered Nurses and the People. In relation to this, nurses
must observe the following, EXCEPT:
In the event of conflicts, culture and values take precedence over welfare and safety.
7
As a citizen and a member of society, the nurse must:
I. Be involved in community concerns and projects
II. Be equipped with knowledge of community health resources
III. Lead their lives in conformity with the principles of right conduct.
IV. Project an image that will uplift the nursing profession at all times.
V. Be on guard that her/his words, actions are always agreeable with others
I, II, III, IV
8
In the said Code of Ethics for Nurses, the nurse in relation to her profession is expected to do the following, EXCEPT
Be a member of the accredited professional organization, the International Council of Nurses.
9
As a professional, the nurse must conduct herself appropriately at all times. Which of the following behaviors does NOT correspond to this statement?
Accept gift, hospitality from any person in exchange for requested favor
10
The registered nurse who works in the obstetrics department is walking by the emergency department waiting room when a person cries out, "Help me! My mother is not breathing!" Does this
nurse have a duty to assist?
Yes, the general duty of care exists to help in times of crisis or imminent harm.
11
Ethical issues on a day-to-day basis often involve patient commnication and advocacy. It may also include questions about
end-of-life care. Nurses are often the ones working closest with patients and families while administering care.
What is the appropriate approach for the commnity/public health nurse in balancing individual privacy and autonomy and the coumunity's needs for safety and security?
Seek a balance between individuals' needs and the community's needs
12
Ethical issues on a day-to-day basis often involve patient commnication and advocacy. It may also include questions about
end-of-life care. Nurses are often the ones working closest with patients and families while administering care.
In regard to informed consent, which of the following statements is TRUE?
Consent must be voluntary.
13
Ethical issues on a day-to-day basis often involve patient commnication and advocacy. It may also include questions about
end-of-life care. Nurses are often the ones working closest with patients and families while administering care.
The client has a "living will" in which he states he does not want to be kept alive by artificial means even at home. The client's family wants to disregard the client's wishes and have him maintained on artificial life support. The most appropriate initial course of action for the nurse would be to:
Allow the family to ventilate their feelings and concerns, while maintaining the role of client advocate
14
Ethical issues on a day-to-day basis often involve patient commnication and advocacy. It may also include questions about
end-of-life care. Nurses are often the ones working closest with patients and families while administering care.
During a routine visit, the nurse noted that Maya Pinion, a 20-year old wife and mother, has several bruises at various stages of healing. She tells the nurse that she fell down. Failure to report your findings is an example of:
malpractice
15
Ethical issues on a day-to-day basis often involve patient commnication and advocacy. It may also include questions about
end-of-life care. Nurses are often the ones working closest with patients and families while administering care.
Which of the following examples would indicate observance of client confidentiality?
Describing a difficulty with a client in a health team conference
16
Thorough, accurate documentation reflects the patient experience and is crucial for goal-directed patient care and evaluation of outcomes
Lanja Ray, a patient who is being transferred to another facility asks the nurse if she can take home her chart, since it's her record. The nurse responds correctly by saying:
"Actually, the original record is the property of the hospital, but you are welcome to copies of your records."
17
After classroom discussion confidentiality policies and laws protecting client records, a student asks why its permissible for them to review and have access to client records in the clinical area.
The nurse educator responds correctly by stating that:
Records are used in educational and for learning purposes, but the student is bound to hold all information in strict confidence.
18
A client did not meet the goal of walking unassisted, without assistive devices, by discharge from rehabilitation. The case manager using a critical pathway would identify this as which of the following?
A variance
19
When documenting care and assessments using the charting by
exception system, the nurse may not address all of the sections on a clients flow sheet, especially if the client did not require this particular care. In order for the nurse to identify that these areas were addressed, no care was needed, the best action is to:
Write N/A on the flow sheet in the areas that are not applicable to that client.
20
A newly licensed RN complains to the preceptor about the amount of time spent documenting in the medical record. What is the preceptor's best response?
"The most important reason we document is to help us communicate the patient's condition to the rest of the health care team"
21
Nurse Sybil Rayts attends to patient Violet Thor who is pregnant when a pelvic sonogram was conducted on her revealing fetal distress.
Nurse Sybil Rayts advised the patient Violet Thor to have a follow up visit to their clinic after a week, but the patient only returned when she started to suffer contractions. Upon examination, the doctor discovered fetal demise. Worse, patient Violet Thor had to be
ligated, deeming her barren and sterile.
Frustrated, patient Violet Thor filed legal charges against all people concerned. Who among the following will be accountable to the patient?
The doctor and the nurse because of a possibility of their failure to perform their perspective duties with diligence and care.
22
Nurse Sybil Rayts attends to patient Violet Thor who is pregnant when a pelvic sonogram was conducted on her revealing fetal distress.
Nurse Sybil Rayts advised the patient Violet Thor to have a follow up visit to their clinic after a week, but the patient only returned when she started to suffer contractions. Upon examination, the doctor discovered fetal demise. Worse, patient Violet Thor had to be
ligated, deeming her barren and sterile.
Under the situation, if the physician and the nurse are liable over the consequence of the treatment and care of the patient, what applicable legal doctrine will this be?
Respondeat Superior
23
Nurse Sybil Rayts attends to patient Violet Thor who is pregnant when a pelvic sonogram was conducted on her revealing fetal distress.
Nurse Sybil Rayts advised the patient Violet Thor to have a follow up visit to their clinic after a week, but the patient only returned when she started to suffer contractions. Upon examination, the doctor discovered fetal demise. Worse, patient Violet Thor had to be
ligated, deeming her barren and sterile.
If Nurse Sybil Rayts is called to testify on the alleged surgical procedure performed to the patient to determine whether there was lack of necessary care and diligence, the nurse should testify only on matters which are
within her personal knowledge
24
Nurse Sybil Rayts attends to patient Violet Thor who is pregnant when a pelvic sonogram was conducted on her revealing fetal distress.
Nurse Sybil Rayts advised the patient Violet Thor to have a follow up visit to their clinic after a week, but the patient only returned when she started to suffer contractions. Upon examination, the doctor discovered fetal demise. Worse, patient Violet Thor had to be
ligated, deeming her barren and sterile.
Medical records have legal implications. In as much as the nurse failed to chart the discharge instructions, what principle in records management was violated?
"If it was not documented, it was not done.“
25
A nurse tells several friends and coworkers that a client, who is also a physician, is unsafe for medical practice because he is paralyzed from the waist down and acts "slightly silly." What type of tort does the nurse's action represent?
Slander
26
The nurse values autonomy above all other principles. Which patient assignment will the nurse find most difficult to accept?
Family elder who is making the decisions for a young-adult female member
27
Each person has a responsibility to take care of his/her body. In case a part is defective, it can be removed for the benefit of the remaining parts. What bio-ethical principle is this?
Totality
28
As member of the health team, nurses are among the following will be accountable to expected to collaborate with other health care professionals for unity and cooperation. What bio-ethical principle is this?
Solidarity
29
When another person or entity intrudes in the affairs of the patient to promote what that person is best for the patient, what principle does he/she promote?
Paternalism
30
Four patients in labor all request epidural analgesia to manage their pain at the same time. Which ethical principle is most compromised when only one nurse is on call?
Justice
31
A 13-year-old- girl named Stormie Weather tells the nurse at the pediatric clinic that she took a pregnancy test and it was positive. She tells the nurse that her grandfather, with whom she, her younger siblings, and her mother live, has repeatedly molested her for the past 3 years. When the nurse asks Stormie if she has told this to anyone, she replies: "Yes, my mother."
As the nurse's legal responsibility, which is the APPROPRIATE agency should she notify FIRST?
Philippine National Police concerning a possible sex crime
32
A 13-year-old- girl named Stormie Weather tells the nurse at the pediatric clinic that she took a pregnancy test and it was positive. She tells the nurse that her grandfather, with whom she, her younger siblings, and her mother live, has repeatedly molested her for the past 3 years. When the nurse asks Stormie if she has told this to anyone, she replies: "Yes, my mother."
Place the following phases of sexual abuse among children in the proper order.
1 Sexual interaction
2 Secrecy
3 Engagement
4 Disclosure
5 Suppression
3-1-2-4-5
33
Rape is a crime against:
1) children.
2) women by their husbands
3) elderly
4) men
AOTA
34
When a patient like Stormie allegedly has been sexually abused,
the nurse should be aware that legal proceedings may be necessary. Because of this possibility, which of the following actions is MOST important to be done by the nurse?
Documenting physical findings and interactions during admission.
35
All of the following are laws that specifically provide protection against various forms of abuse to children in the Philippines, EXCEPT:
Republic Act No. 8504
36
Nurse Rana Marathon is on 7-3 shift in the ER. The unit is crowded with patients and relatives. She is attending to two patients, Walker, who is having chest pains and Hiker, who is with severe abdominal pains. The doctor ordered nitroglycerine 0.5mg sublingually for Walker but the nurse mistakenly administered the drug to Hiker
Nurse Rana is liable to be charged with?
negligence
37
Tess Tickle, a newly hired nurse was pulled out from the Pediatric Unit by the supervisor and assigned to surgical ward temporarily for the shift at 4 PM. She has to feed a post-operative patient who had a tracheostomy and NGT as well. The feeding was mistakenly infused to the tracheostomy instead of infusing it to the NGT. Tess Tickle can be liable for?
malpractice
38
Lucy Stoole is a staff nurse who was assigned in the medical ward.
The physician ordered 20 units of insulin injection to a client with diabetes. Nurse Lucy administered 20cc of insulin instead. After
30 minutes, the client developed hypoglycemia and died. Nurse Lucy is liable for?
malpractice
39
A staff nurse was caught by her supervisor administering high doses of morphine to patient with leukemia given by the mother.
for a fee for P 25,000. The nurse is liable for?
malpractice
40
Nurse Mimi Imfurst is assigned to a cranky and demanding patient suffering from a peripheral neuropathy. One day the patient
was chilling and needed blankets and a hot water bag (HWB) . Nurse Mimi placed the HWB without cover and placed it directly to the
patient's foot. The patient suffered 2nd degree burns.
Nurse Mimi may be sued by relatives for?
malpractice
41
Mr. Blake Deadly, 76 years old, a former chairman of the Board of Trustees of an academic institution had a severe chest pain and was rushed to the medical center by the members of the family. He was seen at the ER and was advised by the physician to be admitted.
After a comprehensive assessment and diagnostic tests,
he was found out to have blockage of 2 coronary arteries.
The wife and his 2 children, a nurse, and a doctor was trying to convince their father to undergo open heart surgery to relieve his discomforts. In this ethical decision, who should be followed?
patient
42
The nurse observed that the dose of the PRN pain medication ordered by the physician to Mr. Blake Deadly is quite high for his age, so she suggested for a lower dose. What ethical behavior is being manifested by the nurse with this action?
non-maleficence
43
Mr. Blake Deadly is on bed rest. When he uses the call bell for the nurse to assist him to be transferred to the commode and answered him to wait for 5 minutes and came on time is an example of what principle?
fidelity
44
Identify the best method for a nurse to acknowledge a client's autonomy.
Know and understand the state's laws that address living wills.
45
When considering legal issues the term "contract"
is to "liable" as “standard" is to:
Accountability
46
You are a newly hired nurse in a tertiary hospital. You are required to attend an orientation activity on legal implications of nurse's action.
You are aware that you need a license to practice nursing in
the Philippines Licensure is primarily required to protect which of the following?
The patients under his/her care
47
The facilitators discuss negligence and malpractice. Which of the following factors is unique to malpractice?
1) There is a contractual relationship between the nurse and the patient
2) An inappropriate care is an act of commission
3) The patient is harmed as a result of care
4) The action of the nurse did not meet standards of care
1 & 2
48
The facilitator cites a situation. Nurse Rhea Aranged used a medical equipment improperly which harmed the patient. The nurse maybe charged with
Malpractice
49
The facilitator gave an example of a nurse who gave the wrong medication to a patient. The result was severe allergic reaction. The nurse could be sued for
Malpractice
50
The nurse could be sued for which of the following if s/he says to a patient, “If you don't stop complaining, I will not allow you
to see your family when they visit.”
Assault
51
The practice of nursing requires rules and regulations to ensure patient safety and competent level of behavior in the professional role as a nurse. The following questions are related to this statement.
Nurse Chloe Mydia attends a Halloween party dressed in white nurse uniform. She becomes drunk and begins talking about her colleagues in a demeaning manner. Which of the following will the nurse be considered?
A professional misconduct
52
Two nurses, Nurse Cleo Torres and Nurse Sarah Vix,
are talking about a specific client in the hospital cafeteria. These
nurses are at risk of being accused of which of the following?
1 Professional misconduct
2 Gross incompetence
3 Behavior unbecoming of the profession
4 Breach of confidentiality
1,3,4
53
If a patient to be discharged suggests to the nurse that she would like to get together again if she feels depressed, what should the nurse's response be?
Provide the patient with information about crisis centers
54
Keeping your promise as a nurse to a patient to return in 30 minutes develops?
Trust
55
Nurse Sham Payne observes a patient driving his car. Nurse Sham Payne knows the patient has seizure disorder and his driver's license has been suspended. What should Nurse Carlo do?
Notify the police department of the observation
56
Knowledge of legal terms, concepts, and accountability is very important to a professional nurse for her personal These serve as guide as well as professional life.
You are assigned in the ICU of the Neurological Unit of the hospital.
The attending physician ordered a one-on-one nursing care for his CVA patient. This means that the nurse?
Must remain at the patient's bedside until relieved by another one-on-one nurse
57
A sentinel event for a fractured patient undergoing hip replacement occurred in the Operating Room. The surgeon may be held liable for the incident under which of the following legal doctrines?
Captain of the ship
58
You are a staff nurse in a government hospital. An administrative case was filed against you. Which of the following government agencies prescribes the mechanism for the investigation and punishment for your case?
Professional Regulation Commission
59
You are a staff nurse in a private hospital. Your co-worker, Nurse Terra Hymen, spreads malicious rumors against you. Which of the following agencies will you file the case of unprofessional behavior against Nurse Terra Hymen?
Professional Regulatory Board of Nursing
60
You are a staff nurse in the Neurology Unit of the hospital. You failed to report to duty due to typhoon Odette that hit your places causing massive destruction. Whatever sentinel event that may happen at the time of your absence, you may be exonerated from any liability under the legal doctrine of?
Force majeure
61
Nurses perform duties that require physical assessments,
critical thinking, and collaborative treatment plans, to name a few. Thus, nurses must understand the laws that affect their practice,
as well as their legal responsibilities in their professional roles.
A nurse must follow laws that protect public health,
safety, and welfare. Which law is the nurse following?
Nursing Practice Act
62
Which situation supports the charge of malpractice against a professional nurse?
A failure on the part of the nurse to exercise reasonable and prudent care in treating a patient
63
What does the court consider in determining the nurse's legal liability for standards of care?
Professional education, experience, and specific conduct
64
The Board of Nursing has brought action against a nurse's license based upon violation of a regulation. What is TRUE about this scenario?
These rules and regulations have the force of law
65
A patient, injured at work, was seen by the factory occupational nurse. The nurse treated the wound and instructed the patient to get a tetanus antitoxin injection at the City Health Center. The patient failed to follow instructions, developed tetanus, and subsequently filed a suit against the nurse. What is the most likely result of the ensuing trial? The nurse is:
Liable, because there was no follow-up to ensure patient received the injection
66
Hanna Conda is 19 years old, a Grade 12 student. She recently confessed to Nurse Kendall Gender that she had sexual intercourse with her boyfriend (BF), 18 years old and a classmate of hers. She believes that she is pregnant because she missed menstruating for 3 months. She also related that her BE has recently been confined for pneumonia after an on and off flu-like symptoms. She suspects he has HIV because of his "closeness to a guy who has overtly expressed his feelings on him."
Hannah Conda wants to know his BF's real diagnosis even through a private message in Facebook. The following information that all
employees are enjoined to observe strictly.
I. Operate and hold diagnosis under strict confidentiality
II. Sign a non-disclosure agreement between nurses and their patients
III. Abide with the institution's privacy and security policies
IV. Disclose only the result of the test to the patient himself
In terms of legalities, which of the following should Nurse Kendall
Gender explain to Hannah?
I, II, III, IV
67
Nurse Kendall Gender can also explain the purpose of security measures for data protection which is to maintain the
availability, integrity, and of personal data of all confidentiality
patients. Which of the following actions of anybody is against personal data protection?
I. Unlawful destruction
II. Alteration
III. Disclosure
IV. Unlawful processing
I, II, III, IV
68
To erase the doubt of Hannah Conda as to whether she has been infected with HIV by her BF, what is the BEST advice of the nurse?
Test for Elisa considering window period
69
How long should personal data of an HIV patient be stored on laptops or other portable devices which permits his identification?
For as long as?
It is necessary for the purpose for which it was collected and processed
70
In case the personal data of Hannah’s BF has been accessed accidentally by “somebody” who has the right to file a complaint?
Hannah's BF
71
Farrah Fadala, a registered nurse, has signed a contract for two years in a medical center. A recruitment agency has offered her a "fat" salary foreign employment. If you are in the position Farrah,
what should you do?
Write a resignation letter to your employer 30 days before leaving.
72
Auntie Biotic, an RN, was invited as a resource person in a nursing conference. The curriculum vitae she submitted to the PRC
Continuing Professional Development Council reflects the word Masters of Arts in Nursing (MAN) after her name. She only completed
academic requirements but not her thesis writing. Which of the following did Ms. Auntie Biotic violate?
RA 9173 or Nursing Law
73
What ethical justification is observed when administering opioids despite the possibility of hastening death?
rule of double effect
74
While vacationing in a different province, the nurse encounters an emergency in which a person needs immediate care.
What should the nurse assume about the Good Samaritan Law?
Select all that apply.
I. A Good Samaritan law does not exist in the Philippines.
II. The nurse has a legal obligation to provide emergency care.
III. The nurse will be protected by the Good Samaritan law.
IV. There is a standard definition of what constitutes an emergency.
I only
75
A federal or state statute setting the maximum time period during which a certain action can be brought or certain rights enforced.
statute of limitations
76
Nurse Tough C. Logue is assigned in the medical ward for 7 years.
He is well appreciated by his colleagues and patients because he intercedes with patient's needs, has good decision-making ability,
and respect the patient's rights and cultural practices. He helps colleagues beyond the call of duty.
A patient who had craniotomy was referred by Nurse Tough C. Logue to DSWD because he has a problem on paying his unsettled hospital bill amounting to P 80,000. The relatives are afraid the patient will not be discharged soon. Which BEST describes the action of Nurse Tough
C. Logue?
Advocate
77
Nurse Tough C. Logue noticed a colleague taking frequent breaks, working over-time, inaccurate drug accounts and displaying inappropriate behavior during meetings and conferences.
Nurse Tough C. Logue suspects her colleague is:
on substance abuse
78
Nurse Tough C. Logue is assigned on night shift and noted a
Coworker with a tourniquet wrapped around the upper arm. The
co-worker is about to insert a needle attached to a syringe containing a clear liquid into the antecubital area. Greg’s initial action is to call the:
nurse supervisor
79
Nurse Tough C. Logue made a conference with a preoperative patient on important data related to her illness. To practice confidentiality of information, Nurse Tough C. Logue MUST consider which of the following?
Conducts conference in a private place where conversation is not heard
80
III, IV, V
81
You are aware of the importance of keeping hospital records.
Which of the following statements is not true about hospital records?
Provide personal information about the physicians and nurses assigned to care for the patients
82
You are oriented on the hospital policy that when a patient is readmitted, the patient's file may be retrieved from the hospital records department. From which file may a readmitted patient's record be retrieved?
Master patient index file
83
You orient your staff on the common system used in recording nursing interventions. The system used is a nursing card index or Kardex. What information is not included in the Kardex?
Progress notes of the physician
84
A patient's record contains information of the medications and treatments administered, and observations of the patient's condition.
Which of the following data must be filled up in the patient's chart when he/she is discharged from the hospital?
Final medical diagnosis
85
You are familiar with the ethical aspects patients and hospital records.
Which of the following statements is not true?
The Health records are the property of the locality where the patient is treated
86
You are a staff nurse in a government hospital. In the tour of your duty, you encounter situations that have legal implications.
Mrs. Tia Kofi, an older adult with Dementia fell from her bed because the nurse on duty did not install the side rails. Which of the following criteria can establish a malpractice lawsuit against the nurse?
The nurse on duty did not follow the protocol on the standards of care on the use of side rails
87
Upon entering a patient's room to complete discharge instructions, the nurse discovers the patient in tears. The business office
has stated that the patient cannot leave until someone
pays a portion of the hospital bill. What should the nurse do?
call social services to request an immediate financial evaluation
88
You tell Mr. Brad Winner, “I will give your injection now, Mr. Brad winner” He holds out his arms to you which means Mr. Brad Winner
is giving/not giving you his?
Implied consent
89
Which of the following is not a factor to be verified for a consent to be valid? The person giving the consent must?
Have a diagnosis of a communicable disease
90
Criminal charges have been brought against a nurse who made a medication error that resulted in a child's death. Which level of evidence is expected in this case?
evidence beyond a reasonable doubt
91
As a new licensed nurse, you deem it appropriate to continuously gain competence in your professional practice and to enhance your personal growth.
Which of the following is the most important attribute of a true professional?
Self-regulation
92
You are committed to improve your competence in order to provide safe and quality care to your patients. Which of the following run counter with this personal desire?
Taking the foreign examination for nurses as preparation to working abroad
93
Which of the following situations do you consider your primary responsibility while performing your nursing duty?
Attend to the call for help of a patient who needs total nursing care
94
You have a professional duty to be a member of the accredited organization of nurses. This organization has the mission to undertake the following, except?
Explore foreign labor market for employment of Filipino nurses
95
You dream of pursuing a career of becoming a clinical faculty. Which of the following qualifications is not mandatory?
Must have five years of clinical practice in the field of nursing
96
Below are situations which have some ethico-moral and legal implications to you as a professional nurse.
I, IV
97
You have a neurologic, elderly patient who needs to sign an informed consent for a lumbar puncture. You have doubts about the patient's level of comprehension. Which of the following nursing actions is the most appropriate for this situation?
Do not let the patient sign the informed consent and notify the attending physician
98
Which nursing action is a violation of patient's right to privacy?
Accessing patient's electronic data
99
You are a staff nurse in a regional military hospital in Western Mindanao. You overheard an involuntarily committed patient talking over the phone about the plot to assassinate the President. You reported this to the Comnanding Officer of the Regional Command of the Philippines Army. The nurse was reprimanded for?
Reporting an unverified information
100
The colloquial statement, "The nurse was given her day in court", means that the nurse was given a/an?
Due process
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1
Nurse Libra has just passed the Nurses' Licensure Examination (NLE). She directly needs to refresh herself regarding the law that governs the practice of nursing the Philippines
By virtue of Section 16 of the Philippine Nursing Law, the first step Nurse Libra needs to do after passing the NLE is to:
Take oath of profession before the Philippine Regulatory Board
2
Which government body has the power to revoke or suspend Nurse Libra's certificate of registration/professional license,
should she commit unprofessional and unethical conduct in the future?
Professional Regulatory Board of Nursing
3
Nurse Libra just received her brand-new professional
ID card. In the new format of the Professional Regulation
Commission (PRC) ID, which of the following information are still present?
I. Professional license number
II. Date of birth of licensed professional
III. Last date of validity of ID card
IV. Official seal of the commission
V. Recent grayscale photograph of the licensed professional
I, III
4
What is the primary goal for establishing licensure of nurses?
Set a minimum level of competency to protect the public.
5
Leo, Nurse Libra's boyfriend, is a BSN graduate but did not take the NLE. He is in desperate need of money so he applied and was accepted in a health facility. As a nurse, Leo submitted a fake PRC license in order to be given the job. Leo is liable to be charged of
misrepresentation
6
The Code of Ethics of Registered Nurses in the Philippines was promulgated by the Professional Regulatory Board of Nursing (PRBON) in consultation with national nursing organizations.
Article II of the Code outlines ethical principles governing the Registered Nurses and the People. In relation to this, nurses
must observe the following, EXCEPT:
In the event of conflicts, culture and values take precedence over welfare and safety.
7
As a citizen and a member of society, the nurse must:
I. Be involved in community concerns and projects
II. Be equipped with knowledge of community health resources
III. Lead their lives in conformity with the principles of right conduct.
IV. Project an image that will uplift the nursing profession at all times.
V. Be on guard that her/his words, actions are always agreeable with others
I, II, III, IV
8
In the said Code of Ethics for Nurses, the nurse in relation to her profession is expected to do the following, EXCEPT
Be a member of the accredited professional organization, the International Council of Nurses.
9
As a professional, the nurse must conduct herself appropriately at all times. Which of the following behaviors does NOT correspond to this statement?
Accept gift, hospitality from any person in exchange for requested favor
10
The registered nurse who works in the obstetrics department is walking by the emergency department waiting room when a person cries out, "Help me! My mother is not breathing!" Does this
nurse have a duty to assist?
Yes, the general duty of care exists to help in times of crisis or imminent harm.
11
Ethical issues on a day-to-day basis often involve patient commnication and advocacy. It may also include questions about
end-of-life care. Nurses are often the ones working closest with patients and families while administering care.
What is the appropriate approach for the commnity/public health nurse in balancing individual privacy and autonomy and the coumunity's needs for safety and security?
Seek a balance between individuals' needs and the community's needs
12
Ethical issues on a day-to-day basis often involve patient commnication and advocacy. It may also include questions about
end-of-life care. Nurses are often the ones working closest with patients and families while administering care.
In regard to informed consent, which of the following statements is TRUE?
Consent must be voluntary.
13
Ethical issues on a day-to-day basis often involve patient commnication and advocacy. It may also include questions about
end-of-life care. Nurses are often the ones working closest with patients and families while administering care.
The client has a "living will" in which he states he does not want to be kept alive by artificial means even at home. The client's family wants to disregard the client's wishes and have him maintained on artificial life support. The most appropriate initial course of action for the nurse would be to:
Allow the family to ventilate their feelings and concerns, while maintaining the role of client advocate
14
Ethical issues on a day-to-day basis often involve patient commnication and advocacy. It may also include questions about
end-of-life care. Nurses are often the ones working closest with patients and families while administering care.
During a routine visit, the nurse noted that Maya Pinion, a 20-year old wife and mother, has several bruises at various stages of healing. She tells the nurse that she fell down. Failure to report your findings is an example of:
malpractice
15
Ethical issues on a day-to-day basis often involve patient commnication and advocacy. It may also include questions about
end-of-life care. Nurses are often the ones working closest with patients and families while administering care.
Which of the following examples would indicate observance of client confidentiality?
Describing a difficulty with a client in a health team conference
16
Thorough, accurate documentation reflects the patient experience and is crucial for goal-directed patient care and evaluation of outcomes
Lanja Ray, a patient who is being transferred to another facility asks the nurse if she can take home her chart, since it's her record. The nurse responds correctly by saying:
"Actually, the original record is the property of the hospital, but you are welcome to copies of your records."
17
After classroom discussion confidentiality policies and laws protecting client records, a student asks why its permissible for them to review and have access to client records in the clinical area.
The nurse educator responds correctly by stating that:
Records are used in educational and for learning purposes, but the student is bound to hold all information in strict confidence.
18
A client did not meet the goal of walking unassisted, without assistive devices, by discharge from rehabilitation. The case manager using a critical pathway would identify this as which of the following?
A variance
19
When documenting care and assessments using the charting by
exception system, the nurse may not address all of the sections on a clients flow sheet, especially if the client did not require this particular care. In order for the nurse to identify that these areas were addressed, no care was needed, the best action is to:
Write N/A on the flow sheet in the areas that are not applicable to that client.
20
A newly licensed RN complains to the preceptor about the amount of time spent documenting in the medical record. What is the preceptor's best response?
"The most important reason we document is to help us communicate the patient's condition to the rest of the health care team"
21
Nurse Sybil Rayts attends to patient Violet Thor who is pregnant when a pelvic sonogram was conducted on her revealing fetal distress.
Nurse Sybil Rayts advised the patient Violet Thor to have a follow up visit to their clinic after a week, but the patient only returned when she started to suffer contractions. Upon examination, the doctor discovered fetal demise. Worse, patient Violet Thor had to be
ligated, deeming her barren and sterile.
Frustrated, patient Violet Thor filed legal charges against all people concerned. Who among the following will be accountable to the patient?
The doctor and the nurse because of a possibility of their failure to perform their perspective duties with diligence and care.
22
Nurse Sybil Rayts attends to patient Violet Thor who is pregnant when a pelvic sonogram was conducted on her revealing fetal distress.
Nurse Sybil Rayts advised the patient Violet Thor to have a follow up visit to their clinic after a week, but the patient only returned when she started to suffer contractions. Upon examination, the doctor discovered fetal demise. Worse, patient Violet Thor had to be
ligated, deeming her barren and sterile.
Under the situation, if the physician and the nurse are liable over the consequence of the treatment and care of the patient, what applicable legal doctrine will this be?
Respondeat Superior
23
Nurse Sybil Rayts attends to patient Violet Thor who is pregnant when a pelvic sonogram was conducted on her revealing fetal distress.
Nurse Sybil Rayts advised the patient Violet Thor to have a follow up visit to their clinic after a week, but the patient only returned when she started to suffer contractions. Upon examination, the doctor discovered fetal demise. Worse, patient Violet Thor had to be
ligated, deeming her barren and sterile.
If Nurse Sybil Rayts is called to testify on the alleged surgical procedure performed to the patient to determine whether there was lack of necessary care and diligence, the nurse should testify only on matters which are
within her personal knowledge
24
Nurse Sybil Rayts attends to patient Violet Thor who is pregnant when a pelvic sonogram was conducted on her revealing fetal distress.
Nurse Sybil Rayts advised the patient Violet Thor to have a follow up visit to their clinic after a week, but the patient only returned when she started to suffer contractions. Upon examination, the doctor discovered fetal demise. Worse, patient Violet Thor had to be
ligated, deeming her barren and sterile.
Medical records have legal implications. In as much as the nurse failed to chart the discharge instructions, what principle in records management was violated?
"If it was not documented, it was not done.“
25
A nurse tells several friends and coworkers that a client, who is also a physician, is unsafe for medical practice because he is paralyzed from the waist down and acts "slightly silly." What type of tort does the nurse's action represent?
Slander
26
The nurse values autonomy above all other principles. Which patient assignment will the nurse find most difficult to accept?
Family elder who is making the decisions for a young-adult female member
27
Each person has a responsibility to take care of his/her body. In case a part is defective, it can be removed for the benefit of the remaining parts. What bio-ethical principle is this?
Totality
28
As member of the health team, nurses are among the following will be accountable to expected to collaborate with other health care professionals for unity and cooperation. What bio-ethical principle is this?
Solidarity
29
When another person or entity intrudes in the affairs of the patient to promote what that person is best for the patient, what principle does he/she promote?
Paternalism
30
Four patients in labor all request epidural analgesia to manage their pain at the same time. Which ethical principle is most compromised when only one nurse is on call?
Justice
31
A 13-year-old- girl named Stormie Weather tells the nurse at the pediatric clinic that she took a pregnancy test and it was positive. She tells the nurse that her grandfather, with whom she, her younger siblings, and her mother live, has repeatedly molested her for the past 3 years. When the nurse asks Stormie if she has told this to anyone, she replies: "Yes, my mother."
As the nurse's legal responsibility, which is the APPROPRIATE agency should she notify FIRST?
Philippine National Police concerning a possible sex crime
32
A 13-year-old- girl named Stormie Weather tells the nurse at the pediatric clinic that she took a pregnancy test and it was positive. She tells the nurse that her grandfather, with whom she, her younger siblings, and her mother live, has repeatedly molested her for the past 3 years. When the nurse asks Stormie if she has told this to anyone, she replies: "Yes, my mother."
Place the following phases of sexual abuse among children in the proper order.
1 Sexual interaction
2 Secrecy
3 Engagement
4 Disclosure
5 Suppression
3-1-2-4-5
33
Rape is a crime against:
1) children.
2) women by their husbands
3) elderly
4) men
AOTA
34
When a patient like Stormie allegedly has been sexually abused,
the nurse should be aware that legal proceedings may be necessary. Because of this possibility, which of the following actions is MOST important to be done by the nurse?
Documenting physical findings and interactions during admission.
35
All of the following are laws that specifically provide protection against various forms of abuse to children in the Philippines, EXCEPT:
Republic Act No. 8504
36
Nurse Rana Marathon is on 7-3 shift in the ER. The unit is crowded with patients and relatives. She is attending to two patients, Walker, who is having chest pains and Hiker, who is with severe abdominal pains. The doctor ordered nitroglycerine 0.5mg sublingually for Walker but the nurse mistakenly administered the drug to Hiker
Nurse Rana is liable to be charged with?
negligence
37
Tess Tickle, a newly hired nurse was pulled out from the Pediatric Unit by the supervisor and assigned to surgical ward temporarily for the shift at 4 PM. She has to feed a post-operative patient who had a tracheostomy and NGT as well. The feeding was mistakenly infused to the tracheostomy instead of infusing it to the NGT. Tess Tickle can be liable for?
malpractice
38
Lucy Stoole is a staff nurse who was assigned in the medical ward.
The physician ordered 20 units of insulin injection to a client with diabetes. Nurse Lucy administered 20cc of insulin instead. After
30 minutes, the client developed hypoglycemia and died. Nurse Lucy is liable for?
malpractice
39
A staff nurse was caught by her supervisor administering high doses of morphine to patient with leukemia given by the mother.
for a fee for P 25,000. The nurse is liable for?
malpractice
40
Nurse Mimi Imfurst is assigned to a cranky and demanding patient suffering from a peripheral neuropathy. One day the patient
was chilling and needed blankets and a hot water bag (HWB) . Nurse Mimi placed the HWB without cover and placed it directly to the
patient's foot. The patient suffered 2nd degree burns.
Nurse Mimi may be sued by relatives for?
malpractice
41
Mr. Blake Deadly, 76 years old, a former chairman of the Board of Trustees of an academic institution had a severe chest pain and was rushed to the medical center by the members of the family. He was seen at the ER and was advised by the physician to be admitted.
After a comprehensive assessment and diagnostic tests,
he was found out to have blockage of 2 coronary arteries.
The wife and his 2 children, a nurse, and a doctor was trying to convince their father to undergo open heart surgery to relieve his discomforts. In this ethical decision, who should be followed?
patient
42
The nurse observed that the dose of the PRN pain medication ordered by the physician to Mr. Blake Deadly is quite high for his age, so she suggested for a lower dose. What ethical behavior is being manifested by the nurse with this action?
non-maleficence
43
Mr. Blake Deadly is on bed rest. When he uses the call bell for the nurse to assist him to be transferred to the commode and answered him to wait for 5 minutes and came on time is an example of what principle?
fidelity
44
Identify the best method for a nurse to acknowledge a client's autonomy.
Know and understand the state's laws that address living wills.
45
When considering legal issues the term "contract"
is to "liable" as “standard" is to:
Accountability
46
You are a newly hired nurse in a tertiary hospital. You are required to attend an orientation activity on legal implications of nurse's action.
You are aware that you need a license to practice nursing in
the Philippines Licensure is primarily required to protect which of the following?
The patients under his/her care
47
The facilitators discuss negligence and malpractice. Which of the following factors is unique to malpractice?
1) There is a contractual relationship between the nurse and the patient
2) An inappropriate care is an act of commission
3) The patient is harmed as a result of care
4) The action of the nurse did not meet standards of care
1 & 2
48
The facilitator cites a situation. Nurse Rhea Aranged used a medical equipment improperly which harmed the patient. The nurse maybe charged with
Malpractice
49
The facilitator gave an example of a nurse who gave the wrong medication to a patient. The result was severe allergic reaction. The nurse could be sued for
Malpractice
50
The nurse could be sued for which of the following if s/he says to a patient, “If you don't stop complaining, I will not allow you
to see your family when they visit.”
Assault
51
The practice of nursing requires rules and regulations to ensure patient safety and competent level of behavior in the professional role as a nurse. The following questions are related to this statement.
Nurse Chloe Mydia attends a Halloween party dressed in white nurse uniform. She becomes drunk and begins talking about her colleagues in a demeaning manner. Which of the following will the nurse be considered?
A professional misconduct
52
Two nurses, Nurse Cleo Torres and Nurse Sarah Vix,
are talking about a specific client in the hospital cafeteria. These
nurses are at risk of being accused of which of the following?
1 Professional misconduct
2 Gross incompetence
3 Behavior unbecoming of the profession
4 Breach of confidentiality
1,3,4
53
If a patient to be discharged suggests to the nurse that she would like to get together again if she feels depressed, what should the nurse's response be?
Provide the patient with information about crisis centers
54
Keeping your promise as a nurse to a patient to return in 30 minutes develops?
Trust
55
Nurse Sham Payne observes a patient driving his car. Nurse Sham Payne knows the patient has seizure disorder and his driver's license has been suspended. What should Nurse Carlo do?
Notify the police department of the observation
56
Knowledge of legal terms, concepts, and accountability is very important to a professional nurse for her personal These serve as guide as well as professional life.
You are assigned in the ICU of the Neurological Unit of the hospital.
The attending physician ordered a one-on-one nursing care for his CVA patient. This means that the nurse?
Must remain at the patient's bedside until relieved by another one-on-one nurse
57
A sentinel event for a fractured patient undergoing hip replacement occurred in the Operating Room. The surgeon may be held liable for the incident under which of the following legal doctrines?
Captain of the ship
58
You are a staff nurse in a government hospital. An administrative case was filed against you. Which of the following government agencies prescribes the mechanism for the investigation and punishment for your case?
Professional Regulation Commission
59
You are a staff nurse in a private hospital. Your co-worker, Nurse Terra Hymen, spreads malicious rumors against you. Which of the following agencies will you file the case of unprofessional behavior against Nurse Terra Hymen?
Professional Regulatory Board of Nursing
60
You are a staff nurse in the Neurology Unit of the hospital. You failed to report to duty due to typhoon Odette that hit your places causing massive destruction. Whatever sentinel event that may happen at the time of your absence, you may be exonerated from any liability under the legal doctrine of?
Force majeure
61
Nurses perform duties that require physical assessments,
critical thinking, and collaborative treatment plans, to name a few. Thus, nurses must understand the laws that affect their practice,
as well as their legal responsibilities in their professional roles.
A nurse must follow laws that protect public health,
safety, and welfare. Which law is the nurse following?
Nursing Practice Act
62
Which situation supports the charge of malpractice against a professional nurse?
A failure on the part of the nurse to exercise reasonable and prudent care in treating a patient
63
What does the court consider in determining the nurse's legal liability for standards of care?
Professional education, experience, and specific conduct
64
The Board of Nursing has brought action against a nurse's license based upon violation of a regulation. What is TRUE about this scenario?
These rules and regulations have the force of law
65
A patient, injured at work, was seen by the factory occupational nurse. The nurse treated the wound and instructed the patient to get a tetanus antitoxin injection at the City Health Center. The patient failed to follow instructions, developed tetanus, and subsequently filed a suit against the nurse. What is the most likely result of the ensuing trial? The nurse is:
Liable, because there was no follow-up to ensure patient received the injection
66
Hanna Conda is 19 years old, a Grade 12 student. She recently confessed to Nurse Kendall Gender that she had sexual intercourse with her boyfriend (BF), 18 years old and a classmate of hers. She believes that she is pregnant because she missed menstruating for 3 months. She also related that her BE has recently been confined for pneumonia after an on and off flu-like symptoms. She suspects he has HIV because of his "closeness to a guy who has overtly expressed his feelings on him."
Hannah Conda wants to know his BF's real diagnosis even through a private message in Facebook. The following information that all
employees are enjoined to observe strictly.
I. Operate and hold diagnosis under strict confidentiality
II. Sign a non-disclosure agreement between nurses and their patients
III. Abide with the institution's privacy and security policies
IV. Disclose only the result of the test to the patient himself
In terms of legalities, which of the following should Nurse Kendall
Gender explain to Hannah?
I, II, III, IV
67
Nurse Kendall Gender can also explain the purpose of security measures for data protection which is to maintain the
availability, integrity, and of personal data of all confidentiality
patients. Which of the following actions of anybody is against personal data protection?
I. Unlawful destruction
II. Alteration
III. Disclosure
IV. Unlawful processing
I, II, III, IV
68
To erase the doubt of Hannah Conda as to whether she has been infected with HIV by her BF, what is the BEST advice of the nurse?
Test for Elisa considering window period
69
How long should personal data of an HIV patient be stored on laptops or other portable devices which permits his identification?
For as long as?
It is necessary for the purpose for which it was collected and processed
70
In case the personal data of Hannah’s BF has been accessed accidentally by “somebody” who has the right to file a complaint?
Hannah's BF
71
Farrah Fadala, a registered nurse, has signed a contract for two years in a medical center. A recruitment agency has offered her a "fat" salary foreign employment. If you are in the position Farrah,
what should you do?
Write a resignation letter to your employer 30 days before leaving.
72
Auntie Biotic, an RN, was invited as a resource person in a nursing conference. The curriculum vitae she submitted to the PRC
Continuing Professional Development Council reflects the word Masters of Arts in Nursing (MAN) after her name. She only completed
academic requirements but not her thesis writing. Which of the following did Ms. Auntie Biotic violate?
RA 9173 or Nursing Law
73
What ethical justification is observed when administering opioids despite the possibility of hastening death?
rule of double effect
74
While vacationing in a different province, the nurse encounters an emergency in which a person needs immediate care.
What should the nurse assume about the Good Samaritan Law?
Select all that apply.
I. A Good Samaritan law does not exist in the Philippines.
II. The nurse has a legal obligation to provide emergency care.
III. The nurse will be protected by the Good Samaritan law.
IV. There is a standard definition of what constitutes an emergency.
I only
75
A federal or state statute setting the maximum time period during which a certain action can be brought or certain rights enforced.
statute of limitations
76
Nurse Tough C. Logue is assigned in the medical ward for 7 years.
He is well appreciated by his colleagues and patients because he intercedes with patient's needs, has good decision-making ability,
and respect the patient's rights and cultural practices. He helps colleagues beyond the call of duty.
A patient who had craniotomy was referred by Nurse Tough C. Logue to DSWD because he has a problem on paying his unsettled hospital bill amounting to P 80,000. The relatives are afraid the patient will not be discharged soon. Which BEST describes the action of Nurse Tough
C. Logue?
Advocate
77
Nurse Tough C. Logue noticed a colleague taking frequent breaks, working over-time, inaccurate drug accounts and displaying inappropriate behavior during meetings and conferences.
Nurse Tough C. Logue suspects her colleague is:
on substance abuse
78
Nurse Tough C. Logue is assigned on night shift and noted a
Coworker with a tourniquet wrapped around the upper arm. The
co-worker is about to insert a needle attached to a syringe containing a clear liquid into the antecubital area. Greg’s initial action is to call the:
nurse supervisor
79
Nurse Tough C. Logue made a conference with a preoperative patient on important data related to her illness. To practice confidentiality of information, Nurse Tough C. Logue MUST consider which of the following?
Conducts conference in a private place where conversation is not heard
80
III, IV, V
81
You are aware of the importance of keeping hospital records.
Which of the following statements is not true about hospital records?
Provide personal information about the physicians and nurses assigned to care for the patients
82
You are oriented on the hospital policy that when a patient is readmitted, the patient's file may be retrieved from the hospital records department. From which file may a readmitted patient's record be retrieved?
Master patient index file
83
You orient your staff on the common system used in recording nursing interventions. The system used is a nursing card index or Kardex. What information is not included in the Kardex?
Progress notes of the physician
84
A patient's record contains information of the medications and treatments administered, and observations of the patient's condition.
Which of the following data must be filled up in the patient's chart when he/she is discharged from the hospital?
Final medical diagnosis
85
You are familiar with the ethical aspects patients and hospital records.
Which of the following statements is not true?
The Health records are the property of the locality where the patient is treated
86
You are a staff nurse in a government hospital. In the tour of your duty, you encounter situations that have legal implications.
Mrs. Tia Kofi, an older adult with Dementia fell from her bed because the nurse on duty did not install the side rails. Which of the following criteria can establish a malpractice lawsuit against the nurse?
The nurse on duty did not follow the protocol on the standards of care on the use of side rails
87
Upon entering a patient's room to complete discharge instructions, the nurse discovers the patient in tears. The business office
has stated that the patient cannot leave until someone
pays a portion of the hospital bill. What should the nurse do?
call social services to request an immediate financial evaluation
88
You tell Mr. Brad Winner, “I will give your injection now, Mr. Brad winner” He holds out his arms to you which means Mr. Brad Winner
is giving/not giving you his?
Implied consent
89
Which of the following is not a factor to be verified for a consent to be valid? The person giving the consent must?
Have a diagnosis of a communicable disease
90
Criminal charges have been brought against a nurse who made a medication error that resulted in a child's death. Which level of evidence is expected in this case?
evidence beyond a reasonable doubt
91
As a new licensed nurse, you deem it appropriate to continuously gain competence in your professional practice and to enhance your personal growth.
Which of the following is the most important attribute of a true professional?
Self-regulation
92
You are committed to improve your competence in order to provide safe and quality care to your patients. Which of the following run counter with this personal desire?
Taking the foreign examination for nurses as preparation to working abroad
93
Which of the following situations do you consider your primary responsibility while performing your nursing duty?
Attend to the call for help of a patient who needs total nursing care
94
You have a professional duty to be a member of the accredited organization of nurses. This organization has the mission to undertake the following, except?
Explore foreign labor market for employment of Filipino nurses
95
You dream of pursuing a career of becoming a clinical faculty. Which of the following qualifications is not mandatory?
Must have five years of clinical practice in the field of nursing
96
Below are situations which have some ethico-moral and legal implications to you as a professional nurse.
I, IV
97
You have a neurologic, elderly patient who needs to sign an informed consent for a lumbar puncture. You have doubts about the patient's level of comprehension. Which of the following nursing actions is the most appropriate for this situation?
Do not let the patient sign the informed consent and notify the attending physician
98
Which nursing action is a violation of patient's right to privacy?
Accessing patient's electronic data
99
You are a staff nurse in a regional military hospital in Western Mindanao. You overheard an involuntarily committed patient talking over the phone about the plot to assassinate the President. You reported this to the Comnanding Officer of the Regional Command of the Philippines Army. The nurse was reprimanded for?
Reporting an unverified information
100
The colloquial statement, "The nurse was given her day in court", means that the nurse was given a/an?
Due process